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General NPI Number Information
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NPI Number | 1497169924
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Entity Type | Organization
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Legal Business Name | IRINEO G. GARCIA, D.D.S.,INC.
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 1350 E EDINGER AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-4419
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Country | US
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Telephone | 714-667-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 E EDINGER AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-4419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRINEO GARCIA
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Credential | DENTIST
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Telephone | 714-667-6013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 36366
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License Number State | CA
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